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NPI Code Detail

MEDICARE: WENDY BROUGH

MEDICARE:   WENDY  BROUGH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMT142254TX

General Provider Information

NPI Number : 1295534741
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY BROUGH
Provider Business Mailing Address
First Line : 3003 LAKE ESTATE CT
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-3954
Country : US
Telephone Number : 979-837-6852
Fax Number :
Provider Business Practice Location Address
First Line : 5011 HIGHWAY 6 STE 103
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4799
Country : US
Telephone Number : 713-829-0125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2025
Last Update Date : 03/10/2025

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Directions to “ WENDY BROUGH ” Practice Location

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